Healthcare Provider Details

I. General information

NPI: 1154867133
Provider Name (Legal Business Name): GREATER WASHINGTON PSYCHIATRY AND COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2017
Last Update Date: 10/27/2023
Certification Date: 10/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7474 GREENWAY CENTER DR STE 202
GREENBELT MD
20770-3596
US

IV. Provider business mailing address

7474 GREENWAY CENTER DR SUITE 730
GREENBELT MD
20770-3504
US

V. Phone/Fax

Practice location:
  • Phone: 240-304-3327
  • Fax:
Mailing address:
  • Phone: 301-982-3437
  • Fax: 301-982-9452

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. TODD CHRISTIANSEN
Title or Position: DOCTOR
Credential: MD
Phone: 301-982-3437